License Directory

Susan Beth Connolly

Active

Michigan license 4901004179

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
4901004179
Status
Active
First issued
August 8, 2003
Expires
August 8, 2028
License holder
Susan Beth Connolly
Entity type
Individual

Classifications

More from the license record

Specialties
DPA,TPA

Contact

Portage Family Vision Care
6483 S. Westnedge Avenue Portage
Portage, MI 49002
Kalamazoo County